| Budd-Chiari syndrome secondary to caval recurrence of renal cell carcinoma. | |
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MedLine Citation:
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PMID: 20525562 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Renal cell carcinoma (RCC) involves the inferior vena cava (IVC) in a minority of patients. Less commonly, it presents with Budd-Chiari syndrome. If untreated, the condition progresses towards liver failure and death. METHOD: We report a case of Budd-Chiari syndrome due to infiltration of the IVC and right atrium by recurrence of RCC 7 years after successful treatment by primary resection. RESULTS: Surgery was performed with a combined abdominal and thoracic approach with cardio-pulmonary by-pass and cardioplegia. The tumor was removed and a cadaveric iliac vein graft used to re-establish venous continuity between the right atrium and hepatic veins. CONCLUSIONS: Although it is a complex and high-risk procedure, aggressive surgery performed by an experienced team with liver transplant and cardiothoracic skills may enable resection of apparently advanced caval tumors. The case is discussed in the light of the current literature. |
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Authors:
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Gabriele Marangoni; Adrian O'Sullivan; Amir Ali; Walid Faraj; Nigel Heaton |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Hepatobiliary & pancreatic diseases international : HBPD INT Volume: 9 ISSN: 1499-3872 ISO Abbreviation: HBPD INT Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-07 Completed Date: 2010-09-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101151457 Medline TA: Hepatobiliary Pancreat Dis Int Country: China |
Other Details:
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Languages: eng Pagination: 321-4 Citation Subset: IM |
Affiliation:
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Institute of Liver Studies, King's College London School of Medicine at King's College Hospital, Denmark Hill, London, UK. gabrielemarangoni@virgilio.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Budd-Chiari Syndrome
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etiology*,
radiography,
surgery Carcinoma, Renal Cell / complications, pathology*, surgery Cardiopulmonary Bypass Heart Arrest, Induced Heart Atria / pathology, surgery Humans Iliac Vein / transplantation Kidney Neoplasms / complications, pathology*, surgery Male Middle Aged Neoplasm Invasiveness Neoplastic Cells, Circulating / pathology* Nephrectomy Tomography, X-Ray Computed Treatment Outcome Vascular Surgical Procedures Vena Cava, Inferior / pathology*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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